UTILIZATION AND AVAILABILITY OF CARDIAC SURGERY FOR CHILDREN SUFFERING FROM CONGENITAL HEART DISEASES AT A TERTIARY CARE HOSPITAL IN NORTH INDIA.

Dr Nisha Pandey, Dr Vishal Pooniya

Abstract


Congenital heart disease is the most common congenital anomaly seen in children. Many cases require early surgical intervention. We studied children suffering from congenital heart disease who were advised surgery in pediatric OPD to see how many of them actually underwent surgery during follow up and reasons behind not being able to undergo one. Only 10.6% of our study population actually underwent surgery after being advised. The major reasons behind not undergoing surgery in the remaining children were unaffordability (37.3%), pediatric cardiac surgery not being available locally (37.3%) and long waiting lists at the pediatric cardiac surgery centres (20.3%). Hence, the utilization and availability of pediatric cardiac surgery for children with CHD is very poor in this region of the country.


Keywords


Cardiac surgery, congenital heart disease, children

Full Text:

PDF

References


Fyler DC, Buckley LP, Hellenbrand WE, Cohn HE. Report of the New England Regional Infant Care Program. Pediatrics 1980; 65 Suppl : 375-461.

Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardio12002; 39: 1890-1900.

Saxena A. Congenital heart disease in India: a status report. Indian J Pediatr 2005; 72 (7) : 595-598.

Wren C, Reinhardt Z, Khwaja K. Twenty year trends in diagnosis of life threatening neonatal cardiovascular malformations. Arch Dis Child Fetal Neonatal Ed.

;93:F33-7

Kumar RK, Shrivastava S. Paediatric heart care in India. Heart. 2008;94:984-90.

Kothari SS. Pediatric cardiac care for the economically disadvantaged in India: Problems and prospects. Ann Pediatr Cardiol. 2009;2:95-8.

Kumar D, Bagri N. Pediatric cardiology in India: Onset of a new era. Indian Pediatr 2015:52;563-65.

Pandey N, Pooniya V. Clinico-epidemiologic profile of children with congenital heart disease in a tertiary care hospital in North India. J Adv Med Dent Scie Res 2019;7(8): 92-95.

Ramakrishnan S, Khera R, Jain S, Saxena A, Kailash S, Karthikeyan G, Kothari SS, Juneja R, Bhargava B, Kalaivani M, Mehta M, Bahl VK, Airan B. Gender differences in utilization of surgery for congenital heart disease in India. Heart 2011;97:1920e1925.

About Pradhan Mantri Jan Arogya Yojana (PM-JAY). Available at https://pmjay.gov.in/about-pmjay (accessed on 09 Aug 2019).

Hewitson J, Brink J, Zilla P (2002) The challenge of pediatric cardiac services in the developing world. Semin Thorac Cardiovasc Surg 14:340–345


Refbacks

  • There are currently no refbacks.